Use of complementary and alternative medicine in patients with chronic liver diseases in Germany- a multicentric observational study.

IF 3.3 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
Fleur Sophie Gittinger, Anna Rahnfeld, Elena Lacruz, Alexander Zipprich, Frank Lammert, Cristina Ripoll
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Abstract

Background: The use of Complementary and alternative medicine (CAM) in chronic liver disease (CLD) patients in Germany is unknown. This study investigated the frequency of CAM use and associated sociodemographic, clinical and personality factors in CLD patients in Germany.

Methods: This is a cross-sectional multicenter study of CLD patients attending liver outpatient clinics of university hospitals in Halle(-Saale) and Homburg between 2015 and 2017. Dedicated questionnaires recorded CAM use, sociodemographic and personality factors (evaluated with the "Big five" model, "Hospital Anxiety and Depression"-, "Multidimensional Health Locus of Control"- score). Uni- and multivariate analyses assessed factors associated to CAM use.

Results: Overall 378 patients were recruited, 92 (24.3%) reported to CAM use. On univariate analysis, female CAM users were older (p = 0.001) and more physically active (p = 0.002), male CAM users more often used homeopathy (p = 0.000), actively promoted their health (p = 0.010) or had UDC in their medication (p = 0.004). Logistic regression analysis adjusted for personality factors showed significant association of age, physical exercise (females) and satisfaction with alternative medicine (females, males) to CAM use.

Conclusions: CAM use is prevalent among CLD patients in Germany and is significantly associated to satisfaction with alternative medicine (females, males), physical exercise and older age (females). Doctors should actively inquire CLD patients about CAM use, as hepatotoxicity or interaction with medication can occur.

德国慢性肝病患者使用补充和替代医学的情况--一项多中心观察研究。
背景:德国慢性肝病(CLD)患者使用补充和替代医学(CAM)的情况尚不清楚。本研究调查了德国慢性肝病患者使用 CAM 的频率以及相关的社会人口学、临床和人格因素:这是一项横断面多中心研究,研究对象是2015年至2017年间在哈勒(-萨勒)和洪堡的大学医院肝病门诊就诊的CLD患者。专门的调查问卷记录了CAM的使用情况、社会人口学和人格因素(用 "大五 "模型、"医院焦虑和抑郁"、"多维健康控制点 "评分进行评估)。单变量和多变量分析评估了与使用 CAM 相关的因素:共招募了 378 名患者,其中 92 人(24.3%)报告使用过 CAM。单变量分析显示,女性 CAM 使用者年龄更大(p = 0.001)、更喜欢运动(p = 0.002),男性 CAM 使用者更经常使用顺势疗法(p = 0.000)、积极促进健康(p = 0.010)或在药物中添加 UDC(p = 0.004)。根据个性因素调整后的逻辑回归分析表明,年龄、体育锻炼(女性)和对替代医学的满意度(女性、男性)与使用 CAM 有显著关联:德国的慢性阻塞性肺病患者普遍使用 CAM,且与替代医学满意度(女性、男性)、体育锻炼和年龄(女性)显著相关。医生应积极向慢性阻塞性肺病患者询问使用 CAM 的情况,因为可能会出现肝毒性或与药物相互作用。
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来源期刊
BMC Complementary Medicine and Therapies
BMC Complementary Medicine and Therapies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.10
自引率
2.60%
发文量
300
审稿时长
19 weeks
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